ヤノ　コウイチロウ   YANO Kouichirou   矢野　紘一郎    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	How reliable is assessment of joint swelling and tenderness over socks or stockings in patients with established rheumatoid arthritis?
掲載誌名	正式名：Modern rheumatology 略　 称：Mod Rheumatol ISSNコード：14397609/14397595
掲載区分	国外
巻・号・頁	epub,pp.epub
著者・共著者	YANO Koichiro, TOBIMATSU Haruki, IKARI Katsunori, OKAZAKI Ken
担当区分	筆頭著者
発行年月	2021/11
概要	OBJECTIVES:Physicians tend to omit examinations of the foot and ankle in routine practice because it consumes a lot of time when working within tight time constraints. Although barefoot examination is critical to assess disease activity of rheumatoid arthritis (RA), we think occasional examination of foot over socks or stockings is better than not examining foot at all. The aim of this study was to assess the accuracy of foot examinations over socks or stockings in patients with RA.METHODS:Sixty patients with RA were enrolled in this study. A rheumatologist and a senior resident performed foot examinations on each patient over socks, over stockings, and on bare foot to assess swelling and tenderness. Concordance rates between the barefoot examination and the examinations over socks or stockings by each examiner were investigated.RESULTS:The rheumatologist had a concordance rate of 94.4% over socks and 98.8% over stockings. The senior resident had a concordance rate of 95.6% over socks and 98.5% over stockings.CONCLUSIONS:Foot examinations over socks and stockings had high concordance rates with the barefoot examination, and it may be an option for decreasing foot and ankle examination time in RA patients.
DOI	10.1093/mr/roab101
PMID	34891174